Organization
ALTERNATE AVENUES WOMENS RESOURCE CENTER
Active
Other names
Assure Pregnancy Clinic, Alternate Avenues
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY JEPSON (CHIEF EXECUTIVE OFFICER)
(909) 621-4800
Entity
Organization
Contact information
Practice address
17057 FOOTHILL BLVD STE 204, FONTANA, CA 92335-3574
(909) 621-4800
(909) 232-8466
Mailing address
PO BOX 1462, FONTANA, CA 92334-1462
(909) 621-4800
(909) 398-4829
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
240000855
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM71007F
—
CA
Enumeration date
01/03/2007
Last updated
11/13/2018
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